NYC-WTC_000196647

NYC 9/11 Public Portal Document

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CYATC AIR MONITORING DATA AND CHAIN OF CUSTODY FORM □ 2 hrs □ 4 hrs Page TURNAROUND TIME 06 hrs □ 48 hrs 024 hrs 072 hrs □ Standards Other /

PROJECT INFORMATION 1. Client 2 Project Name y 4 Project Monitor 4c Rotameter Number

2a 3a Task # 4a AirSampier^

5 Bate i6 Abatement Location 7 Q PCM lOBmlcronllcEl 8 TEM (0 45 micron MCE) 9 Type c □Abatement 1 □ Environmental Cassette/Rfter Manufacture _ Cassette/FillBr Manulacture a □ Background d □ Post-Abate g 52jAmbient Lot# _______________ Lol# b □ Pre-Abate e □ OSHA h □ Other

DAILY AIR SAMPLE RECORD 10 It 12. Sample Location 13 Time (24 hrs clock) 14 Flow Rate (L/min) 15 16 17 Sample ID Pump 12a ^^^WA 12c Sample Coordinates 13a Start 13b. End 13c Total 14a Start 14b. End 14b Total Air Vol # Fibers/Fields Fiber Cone F/CC Number Number IWA Avg (liters) Minus Blank

7- Field Blank i Field Blank

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/ •x.o /bZO 23^ ^■0 3 G Q CHAIN OF CUSTODY LAB INFORMATION (ATC ELAP #J0879. ATC NVLAP #1187) H 18 Relinquished By 19 Received By. y 20 Date 21 Time 22 Lab Name TTVasY' 23 Date^ I 24 Time | 25 Microscope Make/Serial # a Analyzed By □ Nikon Labophot 238913 S o II - i b QCBy □ Nikon Labophot 238917 o c Lab Batch # □ Nikon Labophot 239079 o UI I Analysis Methodology o o 26 ATC Project Manager 28 Comments. OJ 27. Result To PCM - NIOSH 7400A o Beeper/Phone #'s TEM-AHERA on YELLOW - Client/Report PINK - Lab WHITE - File GOLDENROD - Field NY-1 (1/01)

NYC-WTC_000196649